1125 GRAND AVE 2020-07-14 - Laserfiche WebLink

LECTR C L PERMIT A! itICATII®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ] (E) everetteps@everettwagov] www.everettwa.govlpermits PROJECT ADDRESS: 11 aS C v-o„ -. /-7 02_ BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: ›AFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL USE OF BUILDING: RR 5 k ( � - ELECTRICAL,APPLICATION IINIF'ORQVIATQON.: CONTRACT PRICE OF WORK:$ I500 , NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YESNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: f t`I,a c\.) G V k (�-Q,.4 / I I AQC,A. Q. C,r COV-1. C}� �i_SL• L 1 C� vet P roc Q 04 �'� , J ..CONTACT l - ' :INFORMA'f IASL°,-.... OWNER NAME: J Si Ly 640\cl TENANT NAME(If Commercial): OWNER MAILINGADDRESS: // sTReer e15 $ Yx G-iv--. �te/�v er-s244 cnY w A/ J ac STATE (1c f ZIP OWNER PHONE: •..`a git — 6(-146 - 6 OWNER EMAIL: 7 .. CONTRACTOR NAME: 3 Ut''`fn.) Q Gk'r C.- CONTRACTOR .CONTRACTOR ADDRESS: STREET -6g., b 44' (}� c��I CITY ll STATE � ZIP l,c/'V1 CONTRACTOR PHONE: "AS et 3 gpt-s-)CONTRACTOR EMAIL:Jc yj e 3 d,,.v,e In c 1 Chi' a I � (tc•r .Loy) CONTRACTOR LIC.#(REQUIRED): 3OTM 1 D 4660 N G' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ‘0 OWNER $CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: O3 1-614 `7 CONTACT EMAIL: �„.fie v i..%a e,l ec>k k-1 L • Ge wi AGREEMENT:T hereby certify that/ ave read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE tOO. oO PERMIT# a -a6 - i4, E ( SO ~a�3 Own-r/Authorized Agent Sign ure Date (Revised 10/12/2015)